IndividualActive
Kelly Young, CRADC
NPI 1104588177 · Substance Use Disorder Rehabilitation Clinic/Center · Joplin, MO
Provider details
- NPI number
- 1104588177
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- CRADC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4486 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Other Service Providers
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
501 S Pennsylvania Ave
Joplin, MO 64801-2286
Phone: (417) 553-0043
Fax: (417) 553-0081
Approximate (ZIP-level) locationGet directions
Mailing address
501 S Pennsylvania Ave
Joplin, MO 64801-2286
Registry dates
- Enumerated
- 2021-10-07
- Last updated
- 2021-10-07
- Certified
- 2021-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.